Daked, P. Ponigrahi, Smn Kshirsagar In-vitro evaluation of anthelmintic activity of Caesalpinia pulcherrima Linn. Dama, G. Bhanoji Rao Evaluation of hepatoprotective activity of Lawsonia alba leaves on carbon tetrachloride induced hepatotoxicity in rats. Damania, A. Daniyan, S. Abalaka, S. Aransiola, O. Elemba Phytochemical screening, proximate analysis and mineral composition of Cassia occidentalis seed extract.
Sherani Physiological variation of serum alkaline phosphatase level in damawi and balghami males in a sample population. Das, Banani, Achintya Mitra and Jayram Hazra Management of madhumeha diabetes mellitus with current evidence and intervention with Ayurvedic rasausdhies. Das, Debabrata, S. Agarwal, H. Das Gupta, Uma Ed. Das, M. Sharma, A. Bhowmik, R. Parial, B. Rokeya and L.
Ali Effects of water extract of Urtica dioica leaves on glycemic, lipidemic and insulinemic status of type 1 diabetic induced rats. Das, Prabhat K. Das, S. Ghosh Determination of anthelmintic activity of the leaf and bark extract of Tamarindus Indica linn. Das, Shyamal K. Das, Subhojeet Encyclopaedia of plant bioinformatics. Dash, Babita, Narayan Chandra Dash A study on amavata with special reference to angamarda pain and its management with a herbal formulation rasonadi kwatha.
Dash, N. Dashputre, N.
Naikwade Evaluation of anti-ulcer activity of methanolic extract of Abutilon indicum Linn leaves in experimental rats. Dass, Preeti Common infant illnesses and Ayurvedic management. Dass, Preeti Get relief from the pain of sciatica. Daswani, Poonam G. Brijesh, Pundarikakshudu Tetali, Tannaz J. Birdi Studies on the activity of Cyperus rotundus Linn. Datar, Mandar N. Salelkar and P.
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Anil John, V. George and K. Narmatha Chemical composition and antibacterial activity of the essential oil from the aerial parts of Aristolochia tagala. Deole, Yogesh S. Chavan, B. Ravishankar, A. Thakar, H. Chandola Evaluation of anti-depressant and anxiolytic activity Rasayana Ghana Tablet A compound Ayurvedic formulation in albino mice. Deore, S. Khadabadi, K. Kamdi, V. Ingle, N. Kawalkar, P. Sawarkar, U.
Patil, A. Vyas In vitro anthelmintic activity of Cassia tora. Desai, Sandhya K. Desai, S. Navdeep, P. Arya and T. Pooja Anti-stress activity of boerhaavia diffusa root extract and a herbal formulation containing boerhaavia diffusa using cold restraint stress model. Deshmukh, Aaishwarya B. Patel Aqueous extractof Annona squamosa L. Deshmukh, R. Rathod and V. Pardeshi Ethnoveterinary medicine from Jalna district of Maharashtra state.
Deshpande, Vijaya J. Desmond, Laura The pleasure is mine: the changing subject of erotic science. Deva, Arun Ayurveda, Yoga and the alchemy of consciousness. Deval, K. Vaibhav and K. Krishna Effect of Bacopa on memory deficit produced by chronic administration of topiramate in rats. Devarajan, T. Devi, A. Devika, J. Dey, Abhijit, Jitendra Nath De Traditional use of medicinal plants in pediatric and maternal care practiced by the ethnic groups of Purulia district, West Bengal, India. Dey, Abhijit and J.
De Ethnobotanical aspects of Rauvolfia serpentina L. Dey, P. Sarkar Revisiting indigenous farming knowledge of Jharkhand India for conservation of natural resources and combating climate change. Dhandapani, Abirami, Shobana Kumar and Murugan Kadarkarai Larvicidal, pupicidal and smoke toxicity effect of Kaempferia galanga to the malarial vector Anopheles stephensi.
Dhanik, Ajay, N. Sujatha, N. Rai Clinical evaluation of the efficacy of Shvitrahara kashaya and lepa in vitiligo. Dhankhar, Sandeep, S. Rahul, M. Balhara, Seema Dhankar, A. Chhillar Aegle marmelos LInn. Correa, a potential source of phytomedicine. Dhiman, K.
Dhingra, D. Jindal, S. Sharma, H. Kumar Evaluation of antiobesity activity of Tinospora cordifolia stems in rats. Dhruve, Kinnari, C. Harisha, P. Prajapati Pharmacognostical evaluation of Acacia catechu willd. Dinesh, B. Divyabhanusinh Ed. Dixit, Usha and V.
Goyal Traditional knowledge from and for elderly. Donga, Shilpa, Vinay J. Ravishankar, B. Ashok, I. Mishtry Chronic toxicity study of Butea monosperma Linn. Kuntze seeds in albino rats. Donovan, D. Doron, Assa and Alex Broom Eds. Duggal, Ravi Private health insurance and access to healthcare. Dwivedi, N. Chundawat Principle of dincharya ideal life-style in current scenario. Dwivedi Senility and palliative care. Dutta, A. Balekuduru, A. Chacko Spectrum of malabsorption in India -- tropical sprue is still the leader.
Ebaid, Hossam, Mohamed A. Dkhil, Wafaa S. Zahran, Moustafa A. Elfeki and Mohamed S. Gabry Role of Nigella sativa in ameliorating chloramphenicol induced tissue damage in rats. Ediriweera, E. Ratnasooriya Pro blood clotting activity of Scoparia dulcis in rats. Editors Further wildlife notes from Madhya Pradesh: a rejoinder. Edwards, Eiluned Textiles and dress of Gujarat. Ekka, Amia A historical overview of ethnobotanical literature of Chhattisgarh [India]: A graphic review and future directions. Ekka, Amia Folklore claims of some medicinal plants used by tribal community of Chhattisgarh, India.
Ernst, Waltraud Crossing the boundaries of 'colonial psychiatry' -- Reflections on the development of psychiatry in British India, c. Esmaeili, N. Ebrahimzadeh, K. Abdi, S. Safarian Determination of some phenolic compounds in Crocus sativus L. Eswara Rao, B. Falk, Harry Die Kurus und ihre jungen Frauen. Fan, Yijun and Aoxue Luo Evaluation of anti-tumor activity of water-soluble polysaccharides from Dendrobium denneanum.
Fathilah, A. Fatima Grace, X. Latha, S. Shanthi, S. Seethalakshmi, D. Chamundeeswari, P. Manna Isolation and characterisation of Cardiospermum halicacabum mucilage. Fehri, Badreddine, K. Ferrari, Fabrizio M. Francis Xavier, T. Freeda Rose and M. Dhivyaa Ethnomedicinal survey of malayali tribes in kolli hills of eastern ghats of Tamil Nadu, India.
Agatheeswaran Antibacterial effects of leaf extract of Alpinia officinarum. Fuller, Dorian Q. Furst, Daniel E. Venkatraman, Mary McGann, P. Sekar, K. Krishna Kumar Double-blind, randomized, controlled, pilot study comparing classic Ayurvedic medicine, methotrexate, and their combination in rheumatoid arthritis. Gacche, Rajesh N. Shaikh and Rajesh M. Pund In vitro evaluation of anticancer and antimicrobial activity of selected medicinal plants from Ayurveda.
Gadge, Navneet B. Jalalpure Natriuretic and saluretic effects of Hemidesmus indicus R. Gahlot, Kavita, V. Lal, S. Jha Phytochemical and pharmacological potential of Flemingia Roxb. Gajendran, K. Karthickeyan Indigenous technical knowledge in duck production in Tamil Nadu. Galani, Varsha J. Patel Psychotropic activity of Argyreia speciosa roots in experimental animals. Patgiri and P. Prajapati Therapeutic potentials of metals in ancient India: a review through Charaka Samhita.
Ganapathi Raman, S. Sathis Kumar, A. Harani, N. Parthiban, M. Sravan Prasad, G. Venkateshwarlu, A. Hari Prasad Reddy Comparison studies of phyto chemical screening and antibacterial activities of Allium cepa bulb and Allium sativum bulb extracts. Ganga Senarathna, S. Rohini Fernandopulle Medicine prices, availability and affordability in Sri Lanka. Gangireddy, Ramana R. Challa and Chandana V. Rao Comparative and combined studies on anti-diabetic, anti-oxidant and hypolipidemic effects of two plant extracts in STZ induced diabetic rats.
Gangwal, Amit Pharmacognosy losing its charm among students in India. Mukherjee Validated method for estimation of curcumin in turmeric powder. Gaur, Mokshika and Soumendra M. Patnaik "Who is healthy among the Korwa? Gautam, Devanathasimha et al. Gautam, Sujata, Ashok Kumar Jain and Ajay Kumar Potential antimicrobial activity of Zizyphus nummularia against medically important pathogenic microorganisms.
Gayathri, V. Lekshmi, R. Padmanabhan Anti-diabetes activity of ethanol extract of Centella asiatica L. Urban whole plant in streptozotocin-induced diabetic rats, isolation of an active fraction and toxicity evaluation of the extract. Geaves, Ron Sikh controversies concerning Punjabi pilgrimage sites used for healing and possession.
Geetha, G. Indira Silkworm rearing by rural women in Karnataka: A path to empowerment. Geetha, Lakshmi T. Anitha Roy Acacia catechu Willd. Geetha, M. Geetha, N. Mahesh, B. Bettadaiah, R. Kini, H. Prakash HPLC method for determination of p-coumaric acid from the medicinal herb Leptadenia reticulata. Geetha, R. Lakshmi In-vitro evaluation of anti bacterial activity of heart wood extract of Acacia catechu on oral microbes.
George, Mathew Fever epidemics and fever clinics: Institutionalising disease and cure in contemporary Kerala. Gerke, Barbara Correlating biomedical and Tibetan medical terms in Amchi medical practice. Ghaisas, M. Navghare, A. Takawale, V. Zope, M. Tanwar, M. Phanse Tectona grandis Linn. Ghaisas, Saket M. Ghatapanadi, S. Rajasab Documentation of folk knowledge on medicinal plants of Gulbarga district, Karnataka. Ghode, Shweta Prashant, B. Rajkapoor, T. Subbraju Antitumor activity of methanolic extract of Pisonia aculeata leaf.
Ghosh, Kanjaksha Exposure of medical graduates in modern medicine to Ayurvedic medicine. Ghosh, P. Chakraborty, A. Mandal, M. Rasul, Madhumita Chakraborty, A. Saha Triterpenoids from Schleichera oleosa of Darjeeling foothills and their antimicrobial activity.
Gupta, M. Rathore, Iqbal Hussain Wound-healing potential of aqueous and ethanolic extracts of apamarga leaves. Girard, R. Dwivedi Phytochemical investigation of Crotalaria burhia Hamilt. Girija, Krishnamurthy, Kuruba Lakshman, Nagaraj Pruthvi, Pulla Udaya Chandrika Antihyperglycemic and hypolipidemic activity of methanolic extract of Amaranthus viridis leaves in experimental diabetes. Godse, Chhaya S. Nabar, Ashwinikumar A. Raut, Jayashree V. Joshi Reverse pharmacology for antimalarial plants goes global.
Goel, Sonali, G. Kochar and Tarvinderjeet Kaur Development and organoleptic evaluation of food preparations incorporated with selected antidiabetic medicinal plants. Gohel, Salim D. Anand, K. Patel A comparative study on efficacy of Bharangyadi Avaleha and Vasa Avaleha in the management of Tamaka Shvasa with reference to childhood asthma. Golam Mostafa, M. Manjurul Karim Antimicrobial activity of Terminalia chebula. Goli, Penchala Pratap, G. Sudarsanam, B. Jyothi, G. Michel David Ethnopharmacognostical investigation of Ipomoea pes-tigridis Linn.
Gomez, Saji Post harvest handling and processing of potential nutraceutical crops. Gosai, Kuldip, A. Arunachalam, B. Dutta and G. Prasanna Kumar Indigenous knowledge of soil fertility management in the humid tropics of Arunachal Pradesh. Goslinga, G. Goswami, Monali, Bijayalaxmi Dash and N. Dash Traditional method of reproductive health care practices and fertility control among the Bhumija tribe of Baleswar, Orissa. Goswami, Tinni Sanitising society: public health and sanitation in colonial Bengal, Gottumukkala, Venkateswara Rao, Tiruganasambandham Annamalai, Triptikumar Mukhopadhyay Phytochemical investigation and hair growth studies on the rhizomes of Nardostachys jatamansi DC.
Govinda, H. Asdaq Immunomodulatory potential of methanol extract of Aegle marmelos in animals. Govindappa, M. Naga Sravya, M. Poojashri, T. Sadananda and C. Chandrappa Antimicrobial, antioxidant and in vitro anti-inflammatory activity of ethanol extract and active phytochemical screening of Wedelia trilobata L. Govindarajan, M. Goyal, Kamal Kumar, B. Satish Kumar, K.
Mruthunjaya, Mythreyi, S. Yoganarasimhan Pharmacognostical studies of stem bark of Careya arborea Roxb. Goyal, Manoj, Anil Pareek, B. Nagori, D. Sasmal Aerva lanata: A review on phytochemistry and pharmacological aspects. Goyal, Ravikant, Mandip Kaur, H. Chandola A clinical study on the role of Agnimanthadi compound in the management of Sthaulya obesity. Gugler, Thomas K. Guite, Nemthianngai Indigenous medicine and health care among Paite tribe of Manipur. Gulecha, Vishal, T. Sivakumar, Aman Upaganlawar, Manoj Mahajan, Chandrashekhar Upasani Screening of Ficus religiosa leaves fractions for analgesic and anti-inflammatory activities.
Gunasekaran, R. Usha, S. Raja and G. Arunachalam Anti-microbial activity of the bark of Ougeinia oojeinensis Roxb. Gunjan, Manish, M. Ravindran, Goutam K. Jana A review on some potential traditional phytomedicine with antidiabetic properties. Gupta, Anil K. Sancheti, Ramchandra S. Joshi A double-blind, randomized, multicentric, placebo-controlled trial of anarth, a phytomedicine, in the treatment of osteoarthritis.
Prajapati Shelf life of Ayurvedic dosage forms -- Traditional view, current status and prospective need. Gupta, Ankit, P. Gupta, Bharti, S. Gupta, K. Gupta, Kshama, B. Thakar Anti-anxiety and anti-depressant activities of Sarasvata choorna in experimental animals. Pandey, Sajeev K. Rawat Standardization of ashwagandhadi lehya -- an important Ayurvedic formulation of Withania somnifera. Gupta, Meva Lal, S. Gupta, Chaturbhuja Bhuyan Comparative clinical evaluation of Kshara Sutra ligation and hemorrhoidectomy in Arsha hemaorrhoids.
Rao Comparison of the antioxidant activity and total phenolic, flavonoid content of the aerial parts of Cleome viscosa L. Gupta, R.
Gupta Effect of Pterocarpus marsupium on streptozotocin-induced oxidative stress in kidney of diabetic Wistar rats. Aiswarya Preliminary investigation of antimicrobial property of Acacia leucophloea leaves extract. Gupta, Varsha Horticulture in Mughal India Gupta, P. Samarakoon, H. Chandola, B. Ravishankar Clinical evaluation of Boswellia serrata shallaki resin in the management of sandhivata osteoarthritis. Gururaja, M. Joshi, Himanshu Joshi, D. Sathyanarayana, E. Subrahmanyam Antidiabetic potential of cow urine in streptozotocin-induced diabetic rats. Gutschow, Kim From home to hospital: the extension of obstetrics in Ladakh.
Guzder, Jaswant Women who jump into wells: reflections on suicidality in women from conflict regions of the Indian subcontinent. Gyatso, Janet Experience, empiricism, and the fortunes of authority: Tibetan medicine and Buddhism on the eve of modernity. Habib, Irfan History of science, philosophy and culture in Indian civilization, vol. Hajare, Rahul, V. Darvhekar, Ashish Shewale and Vijay Patil Evaluation of antihistaminic activity of Piper betel leaf in guinea pig. Halim, M. Eshrat and Anoop Misra The effect of the aqueous extract of Pterocarpus santalinus heartwood and vitamin E supplementation in streptozotocin-induced diabetic rats.
Hall, T. Halpern, Marc The stanyavaha srota: a closer look. Hangloo, Rattan Lal Ed. Haque, A. Enamul et al. Hari Babu, M. Sandhya Sri and T. Seetharami Reddi Newly reported ethnophytotherapeutic uses for treating diarrhoea and dysentery by the tribals of Visakhapatnam district, Andhra Pradesh, India. Harit, Mahesh Kumar, Amar P. Harman, William Possession as protection and affliction -- The goddess Mariyamman's fierce grace. Harminder, V. Singh, A. Chaudhary A review on the taxonomy, ethnobotany, chemistry and pharmacology of Oroxylum indicum Vent. Hassan, Kyakulaga A.
Nyafuono, Omujal Francis and Ogwang P. Engeu Wound healing potential of the ethanolic extracts of Bidens pilosa and Ocimum suave. Hatapakki, B. Hukkeri Antipyretic activity of root of Marsdenia tenacissima in rats. Hazra, Bibhabasu, Rhitajit Sarkar, Santanu Biswas, Nripendranath Mandal Antioxidant and iron chelating potential of Pongamia pinnata and its role in preventing free radical induced oxidative damage in plasmid DNA. He, Weiping and Baokang Huang A review of chemistry and bioactivities of a medicinal spice: Foeniculum vulgare. Hemalatha, K. Know su tipo de cuerpo y estar sano para siempre; Amezon.
Are you an author? Help us improve our Author Pages by updating your bibliography and submitting a new or current image and biography. Learn more at Author Central. Previous page. Kindle Edition. Next page. There's a problem loading this menu right now. Learn more about Amazon Prime. Get fast, free delivery with Amazon Prime. Books By Vaidya Vasant Patil. More Information. Anything else? Provide feedback about this page. Back to top. Get to Know Us. Amazon Payment Products. English Choose a language for shopping. Amazon Music Stream millions of songs. The most common species identified by culture was Trichophyton Soudanense.
Disease was equal in both gender and predominantly affected the population belonging to low and middle socioeconomic class. Farooqi, M. Hospital, Karachi Pakistan. Full Text Available Introduction: Dengue viruses, of the family Flaviviridae, are the most common cause of arboviral, disease in the world. We report a clinico-epidemiological study of the dengue fever from paediatric department of civil hospital Ahmedabad.
This study was designed to document the presenting features, laboratory results and outcome of dengue infection in children. Methodology: A prospective study was carried from October october and total of patients were studied from age group between 1 month to 12 years. A detailed history, careful clinical examination and laboratory investigations were done in all the patients.
Majority of patients had platelet count between lakh. Wide variety of complications like hepatitis Interestingly Bradycardia was seen in increased frequency subsequent to myocarditis with simultaneously raised CPK-MB levels. There were increased cases of coinfections like malaria, enteric, hepatitis, UTI, not seen previously. Out of patients 6 patients expired.
Study of clinical spectrum of pediatric dermatoses in patients attending a Tertiary Care Center in North Kerala. Full Text Available Introduction: Skin diseases are a major health problem in the pediatric age group. Aim: To determine the prevalence and clinical characteristics of different pediatric dermatoses in a tertiary care centre in Kerala.
Materials and Methods: Children with age 18 years and below with clinical evidence of cutaneous disorders were studied. Results: cases were studied which showed a female preponderance of The most common dermatoses was infections and infestations Conclusions: Fungal infection was the most common infection noted in the study, followed by viral and bacterial infection. Allergic contact dermatitis was the commonest exogenous eczema and juvenile plantar dermatosis was the commonest endogenous eczemas.
Acne, insect bite reaction and miliaria were the other common dermatoses. Species distribution and drug susceptibility of candida in clinical isolates from a tertiary care centre at Indore. Full Text Available Background: The incidence of fungal infections has increased significantly, contributing to morbidity and mortality. This is caused by an alarming increase in infections with multi-drug resistant bacteria leading to overuse of broad-spectrum antimicrobials, which lead to overgrowth of Candida, thus enhancing its opportunity to cause disease.
Candida are major human fungal pathogens that cause both mucosal and deep tissue infections. Objective : The aim of our study was to identify the distribution of Candida species among clinical isolates and their sensitivity pattern for common antifungal drugs. Materials and Methods : Two hundred and thirty-seven different clinical isolates of Candida were collected from patients visiting to a tertiary care centre of Indore from to Identification of Candida species as well as antifungal sensitivity testing was performed with Vitek2 Compact Biomerieux France using vitek 2 cards for identification of yeast and yeast like organisms ID-YST cards.
Results : We found that the non-albicans Candida were more prevalent than Candida albicans in paediatric 60 year patients than other age group , years patients and also in intensive care unit ICU patients as compared to out patient department OPD patients.
Resistance rates for amphotericin B, fluconazole, flucytosine, itraconazole, and voriconazole were 2. All the strains of C. Conclusion: Species-level identification of Candida and their antifungal sensitivity testing should be performed to achieve better clinical results. Emerging literature is also documenting racial and ethnic differences in pain access and care. Granulomatous prostatitis: clinical and histomorphologic survey of the disease in a tertiary care hospital. Conclusion: Despite present-day advances in imaging modalities and serological investigations, it is virtually impossible to identify granulomatous prostatitis clinically.
Histopathology remains the gold standard in diagnosing the disease. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Full Text Available Background: The maternal health status of Indian women was noted to be lower as compared to other developed countries.
Promotion of maternal and child health has been one of the most important components of the Family Welfare Programme of the Government of India. For sustainable growth and development of country, there is a need to improve MCH Care in the country. Safe motherhood by providing good antenatal care ANC is very important to reduce maternal mortality ratio and infant mortality rate and to achieve millennium development goals. Objectives: This study aimed to determine the level of knowledge, attitude, and practice on ANC among pregnant women attending the antenatal clinic at a Tertiary Care Hospital in Pune and their association with various sociodemographic factors.
Materials and Methods: A cross-sectional study was carried out among pregnant women in their 3 rd trimester attending the antenatal clinic in a Tertiary Care Hospital of Pune, Maharashtra during October to September Pretested questionnaire was used for collecting data by interview after obtaining informed consent. It was found that almost all the variables such as age, education, occupation, parity, type of family, and socioeconomic status SES had a significant association with awareness about ANC.
Conclusion: These findings can be used to plan a Health Intervention Program aiming to improve the maternal health practices and eventually improve the health status of the women. Clinical manifestations of nocardiosis: Study of risk factors and outcomes in a tertiary care hospital. Conclusions: The study indicates that Nocardial infections are re-emerging on account of an increase in numbers of immunocompromised patients due to increased organ transplants, autoimmune diseases, malignancies, and use of immunosuppressive drugs and steroids.
Epidemiological and clinical aspects of neonatal tetanus from a tertiary care hospital. Conclusion: It is essential to begin campaigns or integrate complete maternal tetanus toxoid immunization at primary health centers PHC during antenatal care. Immunization needs to be arranged so pregnant women can be educated regarding the importance of ANC and the risks of unhygienic home delivery, and immunization should be addressed with adequate information. Pregnant women and those of childbearing age in mountainous areas should be the first targets for these activities.
Thyroid abnormalities were more among females than in males. Clinical diagnosis is difficult to make but Thyroid Function Tests always help in diagnosing the disease.
Vaidya Vasant Patil (Author of A GUIDE TO AYURVEDIC CLINICAL PRACTICE)
Subclinical state is equally common as clinical state in elderly population. As the age advances the incidence of thyroid disorders increase. The study was undertaken with an objective to study the spectrum of thyroid dysfunction in elderly and to correlate clinical symptoms with abnormal thyroid function. In this study, 36 patients were males and 64 were females. Clinical profile of high-risk febrile neutropenia in a tertiary care hospital.
Full Text Available Background Infection in the immunocompromised host has been a reason of concern in the clinical setting and a topic of debate for decades.
In this study, the aim was to analyse the clinical profile of high-risk febrile neutropenic patients. Aims To study the clinical profile of high risk febrile neutropenia patients with the objective of identifying the most common associated malignancy, most common associated pathogen, the source of infection, to correlate the treatment and management with that of the Infectious Diseases Society of America IDSA guidelines and to assess the clinical outcome.
Methods A cross-sectional time bound study was carried out and a total of 80 episodes of high-risk febrile neutropenia were recorded among patients with malignancies from September to July with each episode being taken as a new case. Conclusion Febrile neutropenia is one of the major complications and cause of mortality in patients with malignancy and hence understanding its entire spectrum can help us reduce morbidity and mortality. Clinical and microbiological characterization of Clostridium difficile infection in a tertiary care hospital in Shanghai, China.
Over the last decade, Clostridium difficile infection CDI has emerged as a significant nosocomial infection, yet little has been reported from China. This study aimed to characterize the clinical and microbiological features of CDI from a hospital in Shanghai. Patients with CDI seen between December and March were included in this study, of which clinical data were retrospectively collected. The microbiological features of corresponding isolates were analyzed including genotype by multi-locus sequence typing MLST , antimicrobial susceptibility, toxin production, sporulation capacity, biofilm formation, and motility.
Ninety-four cases of CDI were included during this study period, 12 of whom were severe cases. Comparing the severe with mild cases, no significant differences were found in the basic epidemiological data or the microbiological features. Among the 94 isolates, 31 were toxin A-negative toxin B-positive all genotyped as ST They generated fewer toxins and spores, as well as similar amounts of biofilm and motility percentages, but exhibited highest drug resistance to cephalosporins, quinolones, macrolide-lincosamide and streptogramin MLSB , and tetracycline.
No specific clinical genotype or microbiological features were found in severe cases; antimicrobial resistance could be the primary reason for epidemic strains leading to the dissemination and persistence of CDI. Conclusion: Ectopic pregnancy can be suspected clinically by history and associated risk factors. Results: Of gram negative bacilli isolates and 3. Most isolates were from the intensive care unit and from post-operative patients. Our findings show that there are significant numbers of isolates having MBL production along with multidrug resistance.
There is a need for active surveillance to detect MBL producers. Catatonia: Etiopathological diagnoses and treatment response in a tertiary care setting: A clinical study. Full Text Available Aim: Catatonia is caused by a variety of psychiatric and organic conditions. The onset, clinical profile, and response to treatment may vary depending on the underlying cause. Materials and Methods: Retrospective chart analysis by using semistructured data sheet for the analysis of sociodemographic data, clinical profile, precipitating event, and response to treatment in patients with catatonic symptoms admitted to IHBAS Institute of Human Behaviour and Allied Sciences, New Delhi, India from January to December was undertaken.
Results: Catatonia was commonly observed in patients with the following profile - late twenties, female, Hindu religion, urban background, and housewives. Thirty four percent of the subjects responded to lorazepam treatment and rest required modified electroconvulsive therapy MECT. Conclusion: Catatonia is more likely to be associated with Schizophrenia and Other Psychotic Disorders in Indian settings. Majority of patients responded to therapy either by lorazepam alone or to its augmentation with modified ECT.
The study being a retrospective one, the sample being representative of the treatment seeking group only, and unavailability of the follow up data were the limitations of the study. Frequency and clinical manifestations of post-poliomyelitis syndrome in a brazilian tertiary care center. In Brazil, PPS frequency and clinical features are quite similar to those of other countries.
Implementation of medical retina virtual clinics in a tertiary eye care referral centre. The increasing incidence of medical retinal diseases has created capacity issues across UK. It was open to non-urgent external referrals and to existing patients in a face-to-face clinic F2FC. All patients received visual acuity testing, dilated fundus photography and optical coherence tomography scans. Grading was performed by consultants, fellows and allied healthcare professionals. Outcomes of these virtual consultations and reasons for F2FC referrals were assessed.
A total number of patients were included were internal and external referrals. The majority were diagnosed with diabetic retinopathy Of the internal referrals, Of the external referrals, The main reason for F2FC referrals was image quality VMRC can be implemented successfully using existing resources within a hospital eye service. It may also serve as a first-line rapid-access clinic for low-risk referrals. This would enable medical retinal services to cope with increasing demand and efficiently allocate resources to those who require treatment.
No commercial use is permitted unless otherwise expressly granted. Spectrum of clinical presentation and surgical management of intestinal tuberculosis at tertiary care hospital. Background: Tuberculosis can involve gastrointestinal tract anywhere from mouth to anus, the peritoneum and pancreato biliary system. It has varied clinical presentations sometimes mimicking other common abdominal diseases.
Tuberculosis continues to be a major problem especially in developing countries, being responsible for 7 - 10 million new cases and 6 per cent of deaths worldwide annually. Methods: This 3-year descriptive study was conducted on patients with diagnosed intestinal tuberculosis by histopathology in Surgical Unit-I, from January to December Detailed history and clinical examination was performed in all the cases.
Preoperative assessment of anatomical site and variety of lesions were also noted. Results: A total of 60 patients with diagnosis of intestinal tuberculosis were admitted and operated. Diagnosis was confirmed by histopathology. Among these, 28 Variable clinical presentations were seen.
Majority of patients 46, Majority of patients had ulcerostenotic type of tuberculosis. Weight lo ss was seen in 40 Resection and. Frequency and clinical course of hepatitis E in tertiary care hospitals. Objective: To find out the frequency of hepatitis E virus as a cause of acute hepatitis and its clinical course in hospitalized patients. Acute hepatitis A, autoimmune hepatitis and Wilson's disease were excluded by doing appropriate test as and when required. The patients with hepatitis E were then monitored by checking their serial transaminases on day 1,4,8 and day 18 or until their transaminases dropped to normal.
They were also clinically assessed and followed-up. Results: Amongst the total admission of patients during one-year period, had acute hepatitis and out of these, 21 patients Seventeen patients were below the age of There were increased number of cases during the late summer and early winter seasons.
Majority of the hepatitis E patients recovered during the short follow-up period of two weeks. Two patients had fulminate hepatitis. A four months pregnant young female died of her illness despite intensive treatment. Conclusion: Hepatitis E virus is fairly common cause of acute hepatitis in hospitalized patients. Most of the patients are having a benign self-limiting illness.
Clinical and serological characterization of cold agglutinin syndrome in a Tertiary Care Hospital in Eastern India. Most patients present with mild, chronic hemolytic anemia with exacerbation of the condition in the cold environment. Red cell transfusions are only indicated when there is a life-threatening anemia causing crisis.
We studied the clinical and serological characterization of CAS with the aim that the information gained from this study would help in proper diagnosis and management of these patients. Materials and Methods: The prospective study included nine patients who were admitted with severe anemia.
Detailed work-up were conducted to establish the diagnosis, severity of in vivo hemolysis and transfusion management. Results: All patients presented with pallor, weakness, fatigue and painful fingers and toes with exacerbation of symptoms in winter months. Secondary CAS was observed in three patients suffering from malignant lymphoma. Red cells of all patients were coated with complements C3 more specifically C3d.
In one patient suffering from malignant lymphoma, the cold autoagglutinin titer was as high as Autoantibody in seven patients was specific to "I" antigen and one to "i" antigen. Conclusions: We conclude that detailed clinical and serological characterization is needed to diagnose and manage CAS.
Whereas avoidance of cold exposure is the primary therapy, but no critical patient should be denied blood transfusion due to serological complications. All transfusion services should follow the correct protocol to maximize blood safety in CAS. Pathway of care among patients with Dhat syndrome attending a psychosexual clinic in tertiary care center in North India.
Full Text Available Aim: The aim of this study was to understand the pathway to care among patients with Dhat syndrome and to study the factors leading to delay in seeking professional psychiatric help. Materials and Methods: Forty-seven patients diagnosed with Dhat syndrome as per the International Classification of Diseases criteria were assessed for sociodemographic and clinical details and information regarding previous treatment taken to determine the pathways to care at their first contact with the outpatient psychosexual clinic.
Results: Majority of the patients were single Comorbidity in the form of any psychiatric illness or sexual dysfunction was present on The mean age at onset of symptoms of Dhat syndrome was The mean duration of symptoms of Dhat before the patients presented to our psychosexual clinic was 6.
The favorite choice for the first contact was indigenous practitioners, followed by asking for help from friends or relatives, allopathic doctors, and traditional faith healers or pharmacists. The preference to visit indigenous practitioners gradually declined at each stage. Ayurvedic doctors remained the most preferred among all indigenous practitioners. The absence of any comorbid sexual dysfunction in patients with Dhat syndrome predicted an earlier visit to our center as compared to the patients with any comorbid sexual dysfunction. Conclusions: Majority of the patients with Dhat syndrome present very late to specialized psychosexual clinics.
There is a need for improving the sexual knowledge and attitude at the community level which will. Clinical profile and management outcome of diabetic foot ulcers in a tertiary care hospital. To determine major risk factors and management outcome of diabetic foot ulcers in order to prevent amputation. One-hundred and sixteen consecutive diabetic patients, with foot ulcers of Wagner's grade 1 to 4 were assessed at baseline for demographic information, detailed history, neuropathy, peripheral pulses and frequency of diabetic complication. Glycemic control was determined on the basis of HbA1c levels.
Appropriate medical and surgical treatments were carried out and patients were followed-up until healing or for 6 months as end point of study. Outcome was recorded as healed, incomplete healing and amputated. Results: A majority of subjects had type 2 diabetes The mean age was Neuropathic ulcers were found in 91 Wound cultures revealed polymicrobial organisms. Foot ulcers of 89 Long-duration of diabetes, poor glycemic control and type of foot ulcers had effect on prognosis p care , aggressive medical management and timely surgical intervention may decrease disabling morbidity with better outcome of diabetic foot ulcer.
Clinical practice and outcomes in advanced gastrointestinal stromal tumor: Experience from an Indian tertiary care center. Data from India remains scarce. Clinical and radiological data was retrieved from stored medical records and charts. Median age was 54 years with a male predominance. Stomach was the most common site of primary with liver being the most common site of metastasis. Overall response rate to first line imatinib was C-Kit mutated patients had a better median OS compared to non mutated patients.
Conclusions: GIST diagnosed and treated in the Indian subcontinent appears to show improved outcomes. The importance of c-Kit mutation analysis in determining the prognosis and outcomes of patients with advanced GIST is emphasized. An audit of consent refusals in clinical research at a tertiary care center in India.
This fundamental principle confers on every participant the right to refuse to take part in clinical research, and the measure of the number of consent refusals could be an important metric to evaluate the quality of the informed consent process. This audit examined consent refusals among Indian participants in clinical studies done at our center. Materials and Methods: The number of consent refusals and their reasons in 10 studies done at our center over a 5-year period were assessed. This rate was higher among patient participants [ Although mostly familial in aetiology, several sporadic cases with different causes have been reported.
There are two groups of disorders predominantly that causes hypokalaemic paralysis. One group is due to transcellular shift of potassium and other is due to loss of potassium from body either through GI tract or through renal system. RESULTS The aetiological workup of all the patients was done which revealed thyrotoxic periodic paralysis as the major cause in 12 of 30 patients.
Vomiting and diarrhoea was seen in 12 of 30 patients. A significant number of patients had thyroid disorders mostly in the form of thyrotoxicosis, non-renal and renal loss of potassium like diarrhoea and vomiting. Early recognition and prompt management of these conditions is essential to prevent residual deformity and further attacks in future.
Demographic and clinical characteristics of patients referred to psychiatric unit in a tertiary care hospital. Very few studies from Pakistan have examined the profile of patients seen by psychiatrists in general hospital. The aim of this research is to describe the clinical and demographic characteristics of patients referred to the psychiatric unit of a general hospital over a one year period.
All patients being referred to psychiatry were included in the study over one year period. The information was recorded on a structured questionnaire and analysed the data using SPSS Results: Out of the patients referred to the psychiatric unit, 74 A total of 69 Housewives made up Conclusion: The rate of psychiatric referrals is dismal with only one third of the patients being transferred to the psychiatric ward.
The major psychiatric diagnosis was depression. Patients with aggressive and threatening behaviour were more frequently referred. Clinically , patients were monitored and platelet count, haematocrit, Hess test were repeated daily. A positive Hess test should prompt close observation and early hospital referral, but a negative test does not exclude dengue infection. Bleeding tendencies should be closely watched for. When features of plasma leakage such as pedal oedema, pleural effusion, ascites are present, the patient should be closely watched for and should be immediately managed. The treatment of dengue is mainly supportive.
However, appropriate fluid management plays a major role in outcome of the disease. Dengue sero-surveillance studies may give some idea about advent, intensity, transmission season, seasonal incidence, waxing and waning, and impending epidemic of dengue and DHF. A large-scale active longitudinal sero-survey along with the study of vector capacity and vector competence would provide more correct information. Nutritional profile of the morbidly obese patients attending a bariatric clinic in a South Indian tertiary care centre.
Full Text Available Background: Obesity is sweeping across continents and is a major public health concern of the modern society. Aims: The main objective of this study was to study the demographic, anthropometric and dietary patterns of the morbidly obese and study region wise variation in their nutrient intake.
Materials and Methods: The study was conducted on morbidly obese individuals from different regions of India who attended the Bariatric clinic of a tertiary care hospital in India. Their socio-demographic details, anthropometric measurements were collected. The dietary assessment was done using a 24 hour dietary recall and a food frequency questionnaire.
The study was approved by the Institutional review board and informed consent was obtained from them. The mean age of the male and female population was Bonferroni Test showed that there was region wise variation in dietary intake, South Indian female population had the lowest intake of the micronutrients and those from East India had the highest intake. Anthropometric measures showed positive relation with various macronutrient intakes.
Conclusion: The obese patients require intense counselling by a dedicated team of an endocrinologist, psychiatrist, dietician, bariatric surgeon and a social worker to make achievable changes in the quality of life of the morbidly obese patients. Regional influences must be considered when counselling the patient. Quality of acute asthma care in two tertiary hospitals in a state in South Western Nigeria: A report of clinical audit. To audit the quality of acute asthma care in two tertiary hospitals in a state in the southwestern region of Nigeria and to compare the clinical practice against the recommendations of the Global Initiative for Asthma GINA guideline.
We carried out a retrospective analysis of patients who presented with acute exacerbation of asthma to the hospital between November and October Majority of the cases were females Frequency, clinical characteristics and outcome of diabetic ketoacidosis in children with type-1 diabetes at a tertiary care hospital. To observe the frequency, demographic data and outcome of diabetic ketoacidosis DKA in children with established type 1 diabetes and newly diagnosed diabetes at a tertiary care hospital.
All records with the diagnosis of DKA were reviewed and those children with only hyperglycaemia, or who did not fulfill the criteria of DKA were excluded. The demographic data and laboratory investigations which included blood sugar monitoring, arterial blood gases, urine analysis especially for ketones, serum electrolytes, complete blood count and blood culture were reviewed. The previous numbers of admissions in children with established DKA were also noted with reasons.
The duration of symptoms and fluids required, time of recovery, complications, and outcome were noted and compared between those with established diabetes and children with newly diagnosed diabetes. Data was entered and analyzed on SPSS version Results: Out of case records, were included which fulfilled the criteria of DKA. A large number, 65 Out of children 50 The commonest presenting complaints in both groups were respiratory distress The symptoms of polyuria, polydipsia and nocturia were more among the newly diagnosed children as compared to those with established diabetes with a significant p value clinical features and laboratory investigations of the two groups showed no difference except that those children with established diabetes improved earlier, required lesser duration of intravenous fluids and their insulin was changed to subcutaneous in less time compared with newly diagnosed.
Frequency of candidemias in a tertiary care intensive care unit. Objective: To determine the frequency of fungal infections in intensive care unit ICU of Military Hospital, Rawalpindi, a tertiary care health facility. Study Design: Cross sectional study. Methodology: A total of 89 patients were screened with stay of more than 5 days in intensive care unit. Thirty cases were enrolled in the study for investigation of fungal infections that had fever even after 05 days of being on broad spectrum antibiotics. Culture was done on blood, urine and catheter tip samples as per clinical condition of a patient.
Results: Candida infection was found in The mean age of study patients was Conclusion: Fungal infections especially candidemias are quite frequent in the intensive care units. Sociodemographic profile, clinical factors, and mode of attempt in suicide attempters in consultation liaison psychiatry in a tertiary care center. Full Text Available Background: The objective was to study the sociodemographic data, psychiatric disorder, precipitating events, and mode of attempt in suicide attempted patients referred to consultation liaison psychiatric services.
Settings and Design: A prospective study of 6-month duration was done in a tertiary care center in India. Materials and Methods: During the 6-month period all referrals were screened for the presence of suicide attempters in consultation liaison services. Those who fulfilled the criteria for suicide attempters were evaluated by using semistructured pro forma containing sociodemographic data, precipitating events, mode of attempt, and psychiatric diagnosis by using ICD Results: The male-to-female ratio was similar.
Adult age, urban background, employed, matriculation educated were more represented in this study. Majority had a precipitating event prior to suicide attempt. The most common method of attempt was by use of corrosive. Conclusions: Majority of suicide attempter patients had mental illness. Early identification and treatment of these disorders would have prevented morbidity and mortality associated with this. There is a need of proper education of relatives about keeping corrosive and other poisonous material away from patients as it was being commonest mode of attempt.
Characteristics and pre-travel preparation of travelers at a Canadian pediatric tertiary care travel clinic : A retrospective analysis. International travelers are susceptible to a wide spectrum of travel related morbidities. Despite rising number of international travelers in Canada, the demographics, risk profiles, and preventative strategies of high-risk traveler groups, including pediatric travelers visiting friends and relatives VFRs are not well described.
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A descriptive analysis was conducted on pre-travel consultations completed between January and August at a large pediatric tertiary care center in Toronto, Canada. Data on demographics, travel characteristics, and pre-travel interventions were extracted from pre-travel consultations. Children that travel to visit friends and relatives represent a unique travel group and may require specific considerations during pre-travel preparations.
Our findings can help develop targeted pre-travel strategies for children VFRs. Acute undifferentiated febrile illness in patients presenting to a Tertiary Care Hospital in South India: clinical spectrum and outcome. Full Text Available Background: Acute undifferentiated febrile illness AUFI may have similar clinical presentation, and the etiology is varied and region specific. Materials and Methods: This prospective observational study was conducted in a tertiary hospital in South India. All adult patients presenting with AUFI of days duration were evaluated for etiology, and the differences in presentation and outcome were analyzed.
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Results: The study cohort included patients. A microbiological cause was identified in Scrub typhus was the most common cause of AUFI Both scrub typhus and dengue fever peaked during the monsoon season and the cooler months, whereas no seasonality was observed with enteric fever and malaria.
The mean time to presentation was longer in enteric fever 9. Bleeding manifestations were seen in 7. The requirement of supplemental oxygen, invasive ventilation, and inotropes was higher in scrub typhus, leptospirosis, and malaria. The overall mortality rate was 3. Significant clinical predictors of scrub typhus were breathlessness odds ratio [OR]: 4. The etiological profile will be of use in the development of.
Determinants of misconceptions about diabetes among Saudi diabetic patients attending diabetes clinic at a tertiary care hospital in Eastern Saudi Arabia. Full Text Available Objective: To identify the determinants of misconceptions about diabetes in patients registered with a diabetes clinic at a tertiary care hospital in Eastern Saudi Arabia. Materials and Methods: This cross-sectional survey was carried out at a diabetes clinic of a tertiary care hospital in Eastern Saudi Arabia, from January to December A total of diabetic patients were interviewed using a questionnaire comprising 36 popular misconceptions.
The total misconception score was calculated and categorized into low , moderate and high scores. The association of misconception score with various potential determinants was calculated using Chi-square test. Step-wise logistic regression was applied to the variables showing significant association with the misconception score in order to identify the determinants of misconceptions.
Results: The mean age was Insulin was being used by Formal education on diabetes awareness had been received by The mean misconception score was Antifungal susceptibility testing of vulvovaginal Candida species among women attending antenatal clinic in tertiary care hospitals of Peshawar. Owing to this fact, in the current study, we aimed at assessing the prevalence rate of Candida spp.
Methods: This study was carried out in the tertiary care hospitals of Peshawar during the period of July 1, to December 31, In all, pregnant women were culture positive for Candida. Antimicrobial susceptibility testing AST was conducted on specimens against various azoles and polyene F group of antifungals. Results: Out of Candida spp. Pregnancy trimester distribution among patients was as follows: 21 Susceptibility of fluconazole was determined as follows: Susceptibility of Candida spp. Reduction of HIV new infections is testimony of impact of prevention programs.
After getting consent, a detailed history taking clinical examination and serological tests for HIV and STI were done. Among STI, syphilis was common. The hospital admission rate for acute pancreatitis is 9. Given the wide spectrum of disease seen, the care of patients with pancreatitis must be highly individualised.